VOCAB/ACRONYMS Ptosis – drooping of the eye and the skin around it Babinski - occurs when the big toe flexes toward the top of the foot and the other toes fan out after the sole of the food has been strokedCT Scan – Computed Tomography ScanChemotherapeutic - placed in the brain, because chemotherapy cannot cross the blood brain barrier, so this is how chemotherapy is introduced into the brain.
OBSERVATIONS Healthy looking. Appears awake. Left side facial droop. Left eye Ptosis. Headaches for a few days. Collapsed. Can answer simple questions, for example how old she is. Confused about where she is at in the present moment.
TESTS ORDERED AND RESULTS CT Scan – tumor on the Right side of the brain between the Partial and Frontal lobes. Biopsy – To see what kind of tumor it was.
SYMPTOMS/COMPLAINTS Headaches for a few days A severe headache the day she went to the hospital Collapsed Loss of Consciousness (couldn’t be woken up)
DIAGNOSIS It was an Astrocytoma tumor between the Partial and Frontal lobes in the right side of the brain
RATIONALE FOR DIAGNOSIS The patient was complaining of severe headaches for a few days, she also had facial droop which led us to a problem in the brain. We ordered a CT Scan to see if it was a stroke or a tumor, and it was a tumor. So we had it Biopsied to see what kind of tumor it was.
Complete the following for the disease you diagnosed
NAME OF DISEASE Astrocytoma (tumor) – it is a malignant tumor, they do not invade the surrounding normal brain tissue. It is a slow growing tumor, but can become very large.
SIGNS AND SYMPTOMS OF DISEASE Severe headaches, cognitive and motor impairment, seizures and sensory anomalies.
HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW)
They first use a CT scan or an MRI. The they take a biopsy of it to see what kind of tumor it is. TREATMENT - Surgery - opening of the skull, and removing of the tumor. The tumor may not be surgically removed if it is in an inaccessible location or is too close to critical parts of the brain. The patient also has to be healthy enough to have the surgery performed. - Ultrasonic Aspiration and Polymer Wafers - Instead of using a scalpel to remove a brain tumor, ultrasonic aspiration may be used. Ultrasonic waves fragment the tumor, and the fragments are then removed by suction. After the tumor has been removed polymer wafer implants can be put in where tue tumor used to be. these wafers are biodegradable and they release chemotherapeutic agents over a period of time.
- Chemotherapy - it uses drugs to kill abnormal cells. However it also affects normal cells.
PROGNOSIS AND COURSE OF DISEASE
Pilocytic Astrocytoma has a 25 year survival rate of about 90%
Grade II Astrocytoma is 5 year survival rate is 53% and 10 year survival rate is about 39%
Anaplastic Astrocytoma is 3 to 5 years
Glioblastoma Multiforme is 1 years survival rate 72% and 2 year survival rate 30%
WHAT IT’S LIKE TO LIVE WITH IT (FIND PICTURES AND VIDEOS FOR YOUR WIKI PAGE)
Tumor
Ptosis – drooping of the eye and the skin around it
Babinski - occurs when the big toe flexes toward the top of the foot and the other toes fan out after the sole of the food has been strokedCT Scan – Computed Tomography ScanChemotherapeutic - placed in the brain, because chemotherapy cannot cross the blood brain barrier, so this is how chemotherapy is introduced into the brain.
Healthy looking.
Appears awake.
Left side facial droop.
Left eye Ptosis.
Headaches for a few days.
Collapsed.
Can answer simple questions, for example how old she is.
Confused about where she is at in the present moment.
CT Scan – tumor on the Right side of the brain between the Partial and Frontal lobes.
Biopsy – To see what kind of tumor it was.
Headaches for a few days
A severe headache the day she went to the hospital
Collapsed
Loss of Consciousness (couldn’t be woken up)
It was an Astrocytoma tumor between the Partial and Frontal lobes in the right side of the brain
The patient was complaining of severe headaches for a few days, she also had facial droop which led us to a problem in the brain. We ordered a CT Scan to see if it was a stroke or a tumor, and it was a tumor. So we had it Biopsied to see what kind of tumor it was.
Complete the following for the disease you diagnosed
NAME OF DISEASE
Astrocytoma (tumor) – it is a malignant tumor, they do not invade the surrounding normal brain tissue. It is a slow growing tumor, but can become very large.
SIGNS AND SYMPTOMS OF DISEASE
Severe headaches, cognitive and motor impairment, seizures and sensory anomalies.
HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW)
They first use a CT scan or an MRI. The they take a biopsy of it to see what kind of tumor it is.
TREATMENT
- Surgery - opening of the skull, and removing of the tumor. The tumor may not be surgically removed if it is in an inaccessible location or is too close to critical parts of the brain. The patient also has to be healthy enough to have the surgery performed.
- Ultrasonic Aspiration and Polymer Wafers - Instead of using a scalpel to remove a brain tumor, ultrasonic aspiration may be used. Ultrasonic waves fragment the tumor, and the fragments are then removed by suction. After the tumor has been removed polymer wafer implants can be put in where tue tumor used to be. these wafers are biodegradable and they release chemotherapeutic agents over a period of time.
- Chemotherapy - it uses drugs to kill abnormal cells. However it also affects normal cells.
PROGNOSIS AND COURSE OF DISEASE
Pilocytic Astrocytoma has a 25 year survival rate of about 90%
Grade II Astrocytoma is 5 year survival rate is 53% and 10 year survival rate is about 39%
Anaplastic Astrocytoma is 3 to 5 years
Glioblastoma Multiforme is 1 years survival rate 72% and 2 year survival rate 30%
WHAT IT’S LIKE TO LIVE WITH IT (FIND PICTURES AND VIDEOS FOR YOUR WIKI PAGE)
Tumor
Ptosis
Facial Droop